Active NPI
Thaorn Krasaeyan
- Acupuncturist
- Van Nuys, CA
National Provider Identifier
1457716656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC16813
- Practice address
- 13746 Victory Blvd Ste 106
Van Nuys, CA 91401-6717 - Phone
- (818) 428-9993
- NPI assigned
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC16813 | CA | Primary |
Addresses
Primary practice location
13746 Victory Blvd Ste 106
Van Nuys, CA 91401-6717
Mailing address
15149 San Jose St
Mission Hills, CA 91345-2526
Phone (818) 898-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC16813 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1457716656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15149 SAN JOSE ST",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452526",
"telephone_number": "818-898-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13746 VICTORY BLVD STE 106",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016717",
"telephone_number": "818-428-9993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASAEYAN",
"first_name": "THAORN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC16813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.